CRC-Certified Medicare HCC Coding Analyst

Alignment Health; Sacramento (CA); Teletrabalho; USD 59 000 - 88 000; Tempo integral

Resumo da oferta

Alignment Health is seeking an HCC Coding Analyst who will monitor coding quality, audits, and data submissions to CMS. You will collaborate with provider partners and Risk Adjustment Management to improve accuracy and compliance across multiple IPA groups.

Required: 3+ years of medical coding experience in a health plan or medical group, with certified coder credentials and experience in Epic, Allscripts, or EZCap. This role operates on Pacific Time from our California offices.

Qualificações

• High School diploma or GED required.
• 3+ years of medical coding in a group or health plan.
• Certified Coder with HCC/Risk Adjustment experience preferred.
• Experience with Epic/Allscripts/EZCap is a plus.

Responsabilidades

• Monitors coding & abstracting quality via audits to maintain standards.
• Develops educational tools to help providers capture conditions accurately.
• Tracks and reports progress of coding audits for CMS data quality.
• Collaborates with Risk Adjustment management on data validation audits.
• Maintains tracking tools for IPA groups in Alignment's network.
• Ensures compliance with federal, state, and local regulations.

Conhecimentos

Communication skills

Leadership

Analytical thinking

Mathematical skills

Prioritization

Problem solving

Formação académica

High School Diploma or GED

Ferramentas

Epic

Allscripts

EZCap

Athena EHR

Descrição da oferta de emprego

Alignment Health is seeking an HCC Coding Analyst who will monitor coding quality, audits, and data submissions to CMS. You will collaborate with provider partners and Risk Adjustment Management to improve accuracy and compliance across multiple IPA groups.

Required: 3+ years of medical coding experience in a health plan or medical group, with certified coder credentials and experience in Epic, Allscripts, or EZCap. This role operates on Pacific Time from our California offices.